Can I get paid to care for my spouse in Wyoming?
Yes — Wyoming lets a spouse be paid.
Wyoming is one of the states where the person who needs care can hire their own husband or wife and have the program pay for it. You do the caring you are already doing. The state pays you for it.
What has to be true
- Your spouse lives in Wyoming and needs long-term care help at home.
- Your spouse has Medicaid, or can qualify. We check that with you for free.
- You pass a background check. No license or certificate is needed.
- The care your spouse needs is written into their plan — that is what the hours are paid against.
What Wyoming pays family caregivers
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Wyoming Medicaid program data · Updated September 2026
What Wyoming's rule actually says
yes per medicaidplanningassistance.org ('Friends and family, including one's adult child or spouse, can be hired'), but other sources exclude spouses/legal guardians/POAs —
The programs this runs through in Wyoming: Community Choices Waiver (participant-directed). Who runs them: Wyoming Department of Health, Division of Healthcare Financing, Home and Community-Based Services (HCBS) Section; 1-800-510-0280; Long Term Care Eligibility Unit 1-855-203-2936
115,700 people in Wyoming are 65 or older. Most of them are cared for at home, by a relative — usually without being paid for it.
How to start in Wyoming
Submit the CCW Program Application (CCW Form 01, which requires choosing a county case management agency) to the WDH HCBS Section in Cheyenne; non-Medicaid members also file a Wyoming Medicaid LTC application (1-855-203-2936); an LT-101 nurse assessment determines level of care.
no home-care agency for self-directed care, but an FMS is required — ACES$ Financial Management Services serves the CCW; a case management agency must also be selected at application
See if you qualify →Spouse questions in Wyoming, answered
Can I get paid to care for my husband or wife in Wyoming?
Yes. Wyoming allows it. The published rule: yes per medicaidplanningassistance.org ('Friends and family, including one's adult child or spouse, can be hired'), but other sources exclude spouses/legal guardians/POAs —
Why do some states allow this and others don't?
Medicaid has long treated care between spouses as a family duty rather than paid work. Self-directed programs changed that in many states by making the person who needs care the employer — they choose their own worker, and in some states that can be a spouse. It is a state-by-state policy choice, not a federal rule.
How much would I earn in Wyoming?
Wyoming does not publish one flat rate — the program sets your pay from the care plan. We tell you your real number before you enroll.
Does my spouse need Medicaid first?
Yes. These are Medicaid programs, so your spouse has to qualify for Wyoming Medicaid and need long-term care help. Many families assume they earn too much and never apply. The rules for long-term care are not the same as regular Medicaid — check before you rule yourself out.
Is there a waitlist in Wyoming?
yes — not an entitlement; slots are limited and a waitlist forms when they are full
How do we start?
Submit the CCW Program Application (CCW Form 01, which requires choosing a county case management agency) to the WDH HCBS Section in Cheyenne; non-Medicaid members also file a Wyoming Medicaid LTC application (1-855-203-2936); an LT-101 nurse assessment determines level of care.
Sources: health.wyo.gov · medicaidplanningassistance.org · mycil.org · Updated September 2026. Rules change — always confirm with the program.
Where most Wyoming caregivers are
Counties with the most residents aged 65 and older. The rules are the same everywhere in Wyoming — pick yours for the local picture.
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